Run more ORs without growing headcount.
Periopilot turns every signal in your ambulatory surgery center — pre-op clearances, intra-day block minutes, PACU throughput, post-op follow-up, and staffing compliance — into one live view your clinical managers can act on.
Hernia repair
Dr. Patel
Knee arthroscopy
Dr. Okafor
Cataract
Dr. Lin
Rotator cuff
Dr. Reyes
Flagged by Periopilot · 07:41
R4 pre-op clearance missing since 16:08 yesterday — escalate to Dr. Reyes' RN.
Today · live signal
Block utilization across R1–R4 · rolling 5-min window
The platform
Every OR signal becomes a single live view.
Periopilot does not replace the systems of record your center already runs. It sits beside them, continuously watching what would otherwise fall through the gap between the EHR and the huddle.
- 01
Pre-op surveillance
Watches every pending clearance the moment it lands in the chart and escalates stalled workups before the morning huddle. Managers start the day already knowing which first cases are at risk.
Stalled workups surfaced 24h+ earlier - 02
Block utilization, intra-day
Continuously compares scheduled vs actual block minutes across every room, surfacing under-utilized windows mid-shift so add-on cases can land in them — without a manual audit at 3 PM.
Mid-shift re-allocations caught - 03
PACU throughput
Tracks phase I to phase II milestones against room turnover, flagging when PACU is about to back up the next room into a delay. Reverse the cascade before it costs the second case of the day.
Phase II bottlenecks flagged live - 04
Post-op follow-up
Auto-sends NPO reminders the night before and post-op check-ins the day after, then escalates silent responses to the manager. Fewer inbound calls; fewer ED bounce-backs.
Silent responses escalated in <15 min - 05
Staffing compliance
Cross-references posted assignments against licensure, ratios, and orientation rules in real time. Gaps that would invalidate a case are flagged before they hit the OR — not during a CMS survey.
Gaps flagged before the first incision
Day in the life
What changes when your OR board is being watched.
Today, the first stall rolls into a delayed first case, an empty mid-shift window, a PACU backup into room 2, and an accreditation packet that re-opens every survey cycle. Periopilot intervenes at every one of those hinges — without requiring a new hire to be on the floor.
Without
R4 pre-op clearance drift discovered at the 07:30 huddle by the manager. First case starts 38 minutes late. PACU backs up into R2. Two nurses pulled onto a case the schedule did not budget.
With
Same clearance drift flagged at 16:08 the day before. R4 owner paged in <15 minutes. First case starts on time. PACU turnaround unaffected. Same two nurses stay with their assigned rooms.
Outcomes
Designed to repeat the gains early agentic deployers reported.
These are the numbers Periopilot is built against — drawn from the early wave of AI-driven scheduling deployers that reported measurable shifts in OR utilization and patient wait times within their first year.
- 6%+
- OR block utilization gains reported by early agentic scheduling deployers
- 30–40%
- Drop in patient wait times in the same early deployments
- Weeks → days
- Typical accreditation packet prep — CMS, AAAHC, AAAASF, ACHC
- Zero
- Nurses added. The platform is built to be headcount-light by design.
Built for ASCs
A modular, headcount-light alternative — for the 80%+ of US surgeries now performed outpatient.
Nursing shortages and stagnating reimbursements are forcing lean teams to push more cases through fewer rooms. Legacy suites like HST Pathways and Surgical Information Systems bundle documentation, revenue cycle, and scheduling behind a hospital-sized price tag. Newly agentic entrants like XY.ai have demonstrated real gains on the scheduling problem.
Periopilot is broader than scheduling and lighter than an all-in-one suite. It lands where ASCs priced out of incumbents actually live: one operations layer for pre-op, the room block, PACU, post-op, staffing compliance, and accreditation evidence — assembled continuously, not in a panic the week before a survey.
Built by
A Registered Nurse who ran ORs at Santa Barbara Surgery Center and the Center for Specialized Surgery. The platform reflects how the day actually works — not how a vendor demo deck describes it.
Questions
FAQ
Not seeing yours? Reach out directly — periopilot@polsia.app. The founder reads every inbound.
Get on the calendar
Request a 30-minute walkthrough.
A short call with the founder on your OR signal sources — workup pipeline, block schedule, PACU phase handoffs, post-op response flow, and the timing of your next survey. You leave with a written read on where the platform would pay for itself first.
- No deck. We open your signal sources and read them together.
- Modular scope — only the surface we plan to pilot together.
- Founder responds within one business day of every request.
Get on the calendar
Show us your OR signal. We'll show you what you're missing.
A 30-minute call with the founder on your current signal sources — workup pipeline, block schedule, PACU phase handoffs, post-op response flow, and the timing of your next survey.